Physical therapists should play a large role in identifying patients who are high risk of a VTE. Once these individuals are identified, preventive measures such as referral for medication, initiation of activity/mobilization, mechanical compression, and education should be implemented to decrease the risk of a first or reoccurring VTE.
Physical therapist should be aware of the signs and symptoms of a LE DVT. When signs and symptoms are present, the likelihood of LE DVT should be determined through the Wells’ Criteria for LE DVT and results shared with the inter-professional team to consider treatment options.
In patients with a diagnosed LE DVT, once a medication’s therapeutic levels or an acceptable time period has been reached post administration, mobilization should begin. While there are risks associated with mobilization, the risk of inactivity is greater.
Complications following LE DVT can continue for years or even a lifetime. Physical therapists can help decrease these complications through education, mechanical compression, and exercise.